ArticleBMC health services research2022
Geographic access to federally qualified health centers before and after the affordable care act.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Managing urinary incontinence: evaluating the role of practice facilitators in enhancing quality improvement and digital integration in primary care.Implementation science communications · 2026Article
- Oral Health Care in the United States.Dentistry journal · 2026Review
- Valley Fever in Central California: Diagnosis is Not the Finish Line, the Real Gap is Longitudinal Care.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026Article
- Does the reform of equalization of basic public services affect residents' sense of safety?-A case from China.Frontiers in public health · 2026Article
- Turf Wars: How Growth and Competitive Shocks Have Affected the Performance and Stability of Community Health Centers.The Milbank quarterly · 2025Article
- Article
- Treating Childhood Obesity: Building and Evaluating Evidence-Based Models of Integrated Care.Journal of the Endocrine Society · 2025Review
- Overlapping markets and quality competition among community health centers.Health services research · 2025Article
- Organizational readiness for implementation: a qualitative assessment to explain survey responses.BMC health services research · 2025Article
- Policy optimization for high-quality development and openness of China's healthcare sector: a tripartite evolutionary game based on wholly foreign-owned hospitals, public hospitals and the government.Frontiers in public health · 2025Article
- A Quality Improvement Approach to Increasing Access to long-Acting Reversible Contraceptives in a Federally Qualified Health Center.Maternal and child health journal · 2024Article
- Low birthweight rate differences associated with distinct perinatal staffing mixes at federally funded health centers.Health affairs scholar · 2024Article
- Potential Gaps in Eye Care Based on Evaluation of Federally Qualified Health Centers.JAMA ophthalmology · 2024Article
- Not all healthcare inequities in diabetes are equal: a comparison of two medically underserved cohorts.BMJ open diabetes research & care · 2024Article
- Mental health care use and quality among Medicaid adults with serious mental illness receiving care at Federally Qualified Health Centers vs. other settings.BMC health services research · 2024Article
- Addressing Disparities in Pediatric Congenital Heart Disease: A Call for Equitable Health Care.Journal of the American Heart Association · 2024Review
- Food is Medicine Initiative for Mitigating Food Insecurity in the United States.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024Review
- Examining County-Level Associations between Federally Qualified Health Centers and Sexually Transmitted Infections: A Political Ecology of Health Framework.Healthcare (Basel, Switzerland) · 2024Article
- Moving Toward Inclusion: Access to Care Models for Uninsured Immigrant Children.The Milbank quarterly · 2023Article
- Eliminating health care inequities through strengthening access to care.Health services research · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThe Affordable Care Act (ACA) increased funding for Federally Qualified Health Centers (FQHCs). We defined FQHC service areas based on patient use and examined the characteristics of areas that gained FQHC access post-ACA.
methodsWe defined FQHC service areas using total patient counts by ZIP code from the Uniform Data System (UDS) and compared this approach with existing methods. We then compared the characteristics of ZIP codes included in Medically Underserved Areas/Populations (MUA/Ps) that gained access vs. MUA/P ZIP codes that did not gain access to FQHCs between 2011-15.
resultsFQHC service areas based on UDS data vs. Primary Care Service Areas or counties included a higher percentage of each FQHC's patients (86% vs. 49% and 71%) and ZIP codes with greater use of FQHCs among low-income residents (29% vs. 22% and 22%), on average. MUA/Ps that gained FQHC access 2011-2015 included more poor, uninsured, publicly insured, and foreign-born residents than underserved areas that did not gain access, but were less likely to be rural (p < .05).
conclusionsMeasures of actual patient use provide a promising method of assessing FQHC service areas and access. Post-ACA funding, the FQHC program expanded access into areas that were more likely to have higher rates of poverty and uninsurance, which could help address disparities in access to care. Rural areas were less likely to gain access to FQHCs, underscoring the persistent challenges of providing care in these areas.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.